Hao Yansha, Zhou Jingting, Tan Ju, Xiang Feng, Qin Zhongliang, Yao Jun, Li Gang, Yang Mingcan, Zeng Lingqin, Zeng Wen, Zhu Chuhong
Department of Anatomy, Engineering Research Center for Organ Intelligent Biological Manufacturing of Chongqing, key Lab for Biomechanics and Tissue Engineering of Chongqing, Third Military Medical University, Chongqing, 400038, China.
Engineering Research Center of Tissue and Organ Regeneration and Manufacturing, Ministry of Education, Chongqing, 400038, China.
Bioact Mater. 2023 Aug 8;29:265-278. doi: 10.1016/j.bioactmat.2023.07.005. eCollection 2023 Nov.
Cross-linking agents are frequently used to restore corneal properties after decellularization, and it is especially important to select an appropriate method to avoid excessive cross-linking. In addition, how to promote wound healing and how to improve scar formation require further investigation. To ensure the safety and efficacy of animal-derived products, we designed bioartificial corneas (BACs) according to the criteria for Class III medical devices. Our BACs do not require cross-linking agents and increase mechanical strength via self-cross-linking of aldehyde-modified hyaluronic acid (AHA) and carboxymethyl chitosan (CMC) on the surface of decellularized porcine corneas (DPCs). The results showed that the BACs had good biocompatibility and transparency, and the modification enhanced their antibacterial and anti-inflammatory properties in vitro. Preclinical animal studies showed that the BACs can rapidly regenerate the epithelium and restore vision within a month. After 3 months, the BACs were gradually filled with epithelial, stromal, and neuronal cells, and after 6 months, their transparency and histology were almost normal. In addition, side effects such as corneal neovascularization, conjunctival hyperemia, and ciliary body hyperemia rarely occur in vivo. Therefore, these BACs show promise for clinical application for the treatment of infectious corneal ulcers and as a temporary covering for corneal perforations to achieve the more time.
交联剂常用于脱细胞后恢复角膜特性,选择合适的方法以避免过度交联尤为重要。此外,如何促进伤口愈合以及如何改善瘢痕形成仍需进一步研究。为确保动物源产品的安全性和有效性,我们根据三类医疗器械标准设计了生物人工角膜(BACs)。我们的BACs不需要交联剂,而是通过醛修饰透明质酸(AHA)和羧甲基壳聚糖(CMC)在脱细胞猪角膜(DPCs)表面的自交联来提高机械强度。结果表明,BACs具有良好的生物相容性和透明度,这种修饰增强了它们在体外的抗菌和抗炎特性。临床前动物研究表明,BACs可在一个月内迅速再生上皮并恢复视力。3个月后,BACs逐渐被上皮细胞、基质细胞和神经细胞填充,6个月后,其透明度和组织学几乎恢复正常。此外,体内很少出现角膜新生血管、结膜充血和睫状体充血等副作用。因此,这些BACs在治疗感染性角膜溃疡以及作为角膜穿孔的临时覆盖物以争取更多时间方面显示出临床应用前景。
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